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Home My WebLink AboutH2025-0067 - Permitsr��Ew R City of Newport Beach ,o @ Community Development Department- Building Division Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 i s newportbeachca.gov/civic II II II II II II Permit: H2025-0067 Plan Check No : Work Class : Other Permit Status: Issued Issued Date: 01/27/2025 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 400 HELIOTROPE AVE Legal Desc : A TR CORONA DEL MAR BLK 335 LOT 2 UN 1 LOT 2 BLK 3 Description: MECH INSTALL (3) HEAT PUMP CONDENSERS *TIMERS PROHIBITED ON HEAT PUMPS* Owner: REMO POLSELLI Address: 400 HELIOTROPE AVE NEWPORT BEACH, CA 92625 Phone: (310)617-8258 Applicant: QUALITY AIR INDUSTRIES INC Address: 2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806 Phone: (714)718-2946 Owner/Builder: Address Phone: Contractor : QUALITY AIR INDUSTRIES INC Address : 2120 S STATE COLLEGE BLVD ANAHEIM, CA 92806 Phone: (714)718-2946 Con State Lie : 1052628 Lie Expire : 04/30/2027 Bus Lie: BT30075259 Bus Lie Expire:05131/2026 Workers' Compensation Insurance Carrier: PIE INSURANCE COMP Policy No: WCP1601270 W. C. Expire: 11/1/2025 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: MITSUBISHI Type of Construction : Model# : SUZ-AA36NL/MXZ-SM60NL/SM60NAM2 Occupancy Groups: Building Setbacks : Front: 15, Side: 4, Side: 4, Rear: 5 Flood Zone: X Use Zone: R-2 - Two -Unit Residential .. " PROCESSED BY: `- •' „ SPECIAL CONDITIONS: DELTA 1 - UPDATED HEAT PUMP MODELS FOR UNIT #2 & 3. NO CONSTRUCTION NOISE &ijBJPCCTQpWjT>[NSpBCT pp ,.S, REVIEW AND APPROVAL ON SATURDAYS _ . . OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct. after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption, Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Lava does not apply to an owner of property who builds or improves thereon, and who Contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Lew). ❑ 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Iwww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent ____ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of sj 3 of the Business and Professions Code, and my e and effect. License Class License No Dale Mac iv d Contractor Signature Ce WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth performance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the Work for which this permit is issued. My workers' rance carrier and policy number are: Policy Number Date lame of Agent rnone R �I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and tat, if I should become subject to thew compens on prowr Section 3700 of the Labor Code, I shall forthwith comply with those provisions- .ignalure of Applicant _ _ -/ �.;�_.— _-.______ _____ — -_ ___.______ __....___. _— ._.—. _..— __ Date- IECLARATION REGARL)ING CONSTRU" TIONL5NDING AGENCY ttt hereby affirm unde, iLf.alty of perjury that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097, Civil Code). er::3'c'J,ime _, Lender's Address ly my signature be nw, I certify to each of the following: I zm the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relahn construction. I authorize representatives of this city or county to enter the above -id ,pr rty., n eclion purposes. ` ` ilGnature of Property Gwner or Authorized Agent '� Pr nt Property Owner's or Authorized Agent s Name �l Se Date ACTION DATE BY DECLARATIONLOR COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PE,tM,1 kAr' RED 0 I SUBMITTED ASBESTOS NOTIFICATION TO PERMII CANCEL(EI EPA LAD — _ PERM)i7f ED — -��QMD PERM/TFINAL / UASBESTOS NOTIFICATION IS NOT APPLICABLE TO �F g �f �--F` PROPOSED DEMOLITION •' j "� CERTIFICATE OF OCCUPANCY ISSUED ` _ SIGNATURE: